title: EDs receive unexpected 'visitors': chemically contaminated patients.
abstract: Just because you are presented with unexpected challenges doesn't mean you shouldn't be prepared. As indicated by the reactions of several St. Louis EDs to "walk-in" chemically contaminated patients, there are procedures you should have in place to ensure minimal exposure to other patients and staff. If the patients are covered with a powder or other unknown substance, begin decontamination procedures immediately, outside if possible. Always have gowns, masks, and gloves readily available in case they are needed on short notice. Have a designated area available as an alternative for treating emergent patients should your ED be quarantined.
mesh_terms: D055884:Chemical Hazard Release; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006786:Hospitals, Urban; D006801:Humans; D008923:Missouri; D019982:Organizational Case Studies; D017751:Safety Management